ATTACHMENT C_ Past Performance PPQs.docx
DOCX document 23 KB Posted
- Attached to
- Q201--IN4000. 1 VACO Health Units
- Solicitation number
- 36C10X23Q0146
About this file
This document includes a past performance questionnaire template and details of a federal contract opportunity. The opportunity is a request for quote issued by the Department of Veterans Affairs Strategic Acquisition Center Frederick for combined health unit services. The NAICS code is 621999 and the business size standard is $18 million. The solicitation will be conducted in tiers, first for SDVOSB concerns, then VOSB, small businesses, and large businesses. Interested companies should provide quotes responding to attachments including a past performance template, performance work statement, questionnaire, and price schedule by the response date. The contract will be firm-fixed-price for a six-month base period from July 1, 2023 to December 31, 2023 with four one-year option periods. The past performance questionnaire is to be completed by references for evaluation purposes.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT A_PWS-Amend 2 FINAL.docx | DOCX document | |
| ATTACHMENT A_PWS-Amend 2 Tracked.docx | DOCX document | |
| ATTACHMENT B_Government Responses Amend 1 FINAL.xlsx | XLSX spreadsheet | |
| 36C10X23Q0146 0002_1.docx | DOCX document | |
| S06_36C10X23Q0146 0002 Final.docx | DOCX document | |
| ATTACHMENT A_Performance Work Statement.docx | DOCX document | |
| S02_36C10X23Q0146.docx | DOCX document | |
| 36C10X23Q0146_1.docx | DOCX document | |
| ATTACHMENT B_Questioner Template.xlsx | XLSX spreadsheet | |
| ATTACHMENT D_Price Schedule.docx | DOCX document | |
| ATTACHMENT C_ Past Performance Questionnaire .docx | DOCX document | |
| 36C10X23Q0146 Final.pdf | ||
| 36C10X23Q0146.docx | DOCX document | |
| ATTACHMENT A_PWS-Health Unit Final.pdf | ||
| ATTACHMENT B_Questions and Answers Template.xlsx | XLSX spreadsheet | |
| ATTACHMENT D_Price Schedule.docx | DOCX document |
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Text version
ATTACHMENT C. 3: PAST PERFORMANCE QUESTIONAIRRE (PPQ)
Past Performance Questionnaire Department of Veterans Affairs: RFQ# 36C10X23Q0146
| E-MAIL TO: Dante E. Ruiz, Contract Specialist | AGENCY: Veterans Affairs (VA) | |
| E-MAIL: Dante.Ruiz@va.gov | PHONE: 202-436-2671 |
-and-
| E-MAIL TO: Carey M. Kauzlarich, Contracting Officer | AGENCY: Veterans Affairs (VA) | |
| E-MAIL: Carey.Kauzlarich@va.gov | PHONE: 202-740-6280 |
INFORMATION REQUEST: PAST PERFORMANCE
This office is currently in the process of awarding a competitive task order. [CONTRACTOR NAME] has provided your name and organization as a reference regarding [CONTRACTOR NAME]’s record of past performance under Contract No. [CONTRACT NO.].
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
Quoter’s Name:
Request for Quote: 36C10X23Q0146_OA Office of Administration
Name of Person Completing the Evaluation:
| Telephone: | E-mail: | |
| Title: | Company/Organization: |
Please rate the quoter in each of the following areas. Note: there is room for comments where you deem remarks would be helpful to our evaluation.
· Not Applicable: N/A
· 1: Performance clearly below the contract performance standard or requirement
| · 2: | Performance occasionally does not meet minimum contract performance standard or requirement |
| · 3: | Performance that meets the minimum contract performance standard or requirement |
| · 4: | Performance that meets and occasionally exceeds the contract performance standard or requirement |
| · 5: | Performance that almost always exceeds the contract performance standard or requirement |
| 1. Overall quality/satisfaction |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Overall satisfaction with the quoter’s performance. Would you (the reference) choose to work with this quoter again? (Additional Comments Here)
| 2. Delivery performance |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Delivery performance includes delivery consistency, on time performance, and flexibility in responding to emerging issues and implementing required solutions. (Additional Comments Here)
| 3. Satisfaction with the quality of service delivered |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Rate the effectiveness and applicability of the plans and strategies delivered and the actual implementation of those. (Additional Comments Here)
| 4. Satisfaction with problem resolution |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
This includes the quoter’s ability to solve problems, the speed in which they handle problems, and their effective delivery of resolutions. (Additional Comments Here)
| 5. Satisfaction with the quality of contractor personnel |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Rate the quality of the contractor’s staff in executing the project work scope. (Additional Comments Here)
1. Have you issued a cure notice, show cause notice, suspension of progress payments or other letters directing the correction of a performance problem in the past 3 years? |_| Yes |_| No If Yes, please explain.
1. Have you terminated this contractor for default within the past 3 years, or are there any pending termination actions? |_| Yes |_| No If Yes, please explain.
1. Based on the quoter’s overall performance, would you award them another contract? |_| Yes |_| No If No, please explain.
1. Have you discussed any adverse past performance problems with the quoter and given them an opportunity to comment? |_| Yes |_| No Please explain.
1. Do you file past performance information in a database that the Contracting Officer may search? |_| Yes |_| No Please explain.
1. If the contract had options, were those options exercised? |_| Yes |_| No Please explain.
1. What was the contract period of performance (i.e., when were services provided)?
1. What was the dollar value of the contract performed by the quoter?
1. Provide a brief description of the services provided by the quoter for this contract.
Please attach any past performance database reports or other material you deem appropriate to a full understanding of the quoter’s past performance by the evaluator.
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